NPI | 1396280079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42098) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001409) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |